Man complains of severe squeezing pain behind the sternum more than 20 min. Objective data: the patient’s condition is grave. Decreased loudness of S1 at the heart apex. Heart rate 102/min., blood pressure - 100/50 mm Hg. Troponin I 3,4 ng/ml. ECG: Q-wave, ST segment and T wave are elevated I, aVL, V5–V6. Provisional diagnosis:
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Chest pain can have causes that aren't due to underlying disease. Examples include heavy lifting, weight lifting, trauma to the chest or swallowing a large piece of food.
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